EAST BAY AGENCY FOR CHILDREN (NPI# 1336298314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336298314 |
| Entity Type | Organization |
| Organization Name | EAST BAY AGENCY FOR CHILDREN |
| Other Organization Name | EAST BAY AGENCY FOR CHILDREN |
| Practice Address |
43030 Newport Dr Fremont CA 94538-6113 |
| Mailing Address |
2828 Ford St Oakland CA 94601-2114 |
| Practice Telephone | 5102683770 |
| Mailing Telephone | 5102683770 |
| Mailing Fax Number | 5102686989 |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2020-09-24 |
| Authorized Official Name | JEANNETTE RODRIGUEZ (CQI ADMINISTRATIVE COORDINATOR) |
| Authorized Official Telephone | 5108445368 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| East Bay Agency For Children | Doing Business As Name - Organization |
| East Bay Agency For Children | Former Legal Business Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 42875 Gatewood St, Fremont, CA 945384131 | 5105445369 | 5108931108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851879795 | East Bay Agency for Children | Community/Behavioral Health | 500 Pacific Ave., Rm 15 and 32, Alameda, CA 94501-2125 | 2018-08-02 |
| 1548747231 | East Bay Agency for Children | Community/Behavioral Health | 2201 Encinal Ave Rm 32 and Therapy Inside Class, Alameda, CA 94501-4412 | 2018-07-25 |
| 1942787635 | East Bay Agency for Children | Community/Behavioral Health | 210 Central Ave Rm 404 and Therapy Room Next To It, Alameda, CA 94501-3246 | 2018-07-25 |
| 1134671209 | East Bay Agency for Children | Community/Behavioral Health | 36111 Bettencourt St, Newark, CA 94560-2101 | 2016-10-25 |
| 1033666177 | East Bay Agency for Children | Community/Behavioral Health | 960 10th St., Room A3, Oakland, CA 94607-3106 | 2016-09-07 |
| 1013464072 | East Bay Agency for Children | Community/Behavioral Health | 1444 Williams St., John Muir Mdl Sch Rm A-7, San Leandro, CA 94577-2403 | 2016-09-07 |
| 1104372242 | East Bay Agency for Children | Community/Behavioral Health | 5735 Musick Ave, Newark, CA 94560-2554 | 2016-08-29 |
| 1710430558 | East Bay Agency for Children | Community/Behavioral Health | 6071 Smith Ave, Newark, CA 94560-4536 | 2016-07-28 |
| 1982157665 | East Bay Agency for Children | Community/Behavioral Health | 6580 Mirabeau Dr, Newark, CA 94560-1121 | 2016-07-28 |
| 1134672983 | East Bay Agency for Children | Community/Behavioral Health | 6201 Lafayette Ave, Newark, CA 94560-2432 | 2016-07-28 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | EAST BAY AGENCY FOR CHILDREN | 2828 Ford Street, Oakland, CA 94601-2114 |
| Street Address |
43030 NEWPORT DR |
| City | FREMONT |
| State | CA |
| Zip Code | 94538-6113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851792121 | City of Fremont | Community/Behavioral Health | 43030 Newport Dr, Fremont, CA 94538-6113 | 2014-09-05 |
| 1770721219 | Jagmeet Kaur Bhardwaj | Case Manager/Care Coordinator | 43030 Newport Dr, Fremont, CA 94538-6113 | 2009-01-21 |
| 1285817130 | Jamila Mohammed | Case Manager/Care Coordinator | 43030 Newport Dr, Fremont, CA 94538-6113 | 2007-12-14 |
| 1255512927 | Mary Nguyen Do | Case Manager/Care Coordinator | 43030 Newport Dr, Fremont, CA 94538-6113 | 2007-11-21 |
| 1770762247 | Ofelia Gamboa | Case Manager/Care Coordinator | 43030 Newport Dr, Fremont, CA 94538-6113 | 2007-10-31 |
| 1295914828 | Sunhee Park | Case Manager/Care Coordinator | 43030 Newport Dr, Fremont, CA 94538-6113 | 2007-10-31 |
| 1053509372 | Eloisa Murillo | Case Manager/Care Coordinator | 43030 Newport Dr, Fremont, CA 94538-6113 | 2007-10-11 |
| 1891983110 | Giselle Vieto | Case Manager/Care Coordinator | 43030 Newport Dr, Fremont, CA 94538-6113 | 2007-10-11 |
| 1790973949 | Shahla Arsala | Case Manager/Care Coordinator | 43030 Newport Dr, Fremont, CA 94538-6113 | 2007-10-11 |
| 1760686216 | La Huy Te | Social Worker | 43030 Newport Dr, Fremont, CA 94538-6113 | 2007-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699394460 | Bay Area Kidney Care Medical Group Inc. | Clinic/Center | 39370 Mozart Terrace Unit 106, Fremont, CA 94538 | 2020-04-13 |
| 1740847284 | Gloria Ann Federico | Behavior Technician | 39210 State St., Suite 220 Fremont, Ca 94538, Fremont, CA 94538 | 2019-05-21 |
| 1093270688 | Timothy Lorne Haynes | Chiropractor | 3775 Beacon Ave., Suite 200, Fremont, CA 94538 | 2019-02-07 |
| 1902370067 | Nicole Sandoval | Counselor | 39155 Liberty St Suite E500, Fremont, CA 94538 | 2019-01-11 |
| 1497225015 | Megan Galban | Behavior Technician | 39210 State St. Suite 220, Fremont, CA 94538 | 2018-11-27 |
| 1780154302 | Karla Patricia Plascencia | Behavior Technician | 39210 State Street Suite 220, Fremont, CA 94538 | 2018-11-27 |
| 1215407846 | Sydney J Torrens | Behavior Technician | 39210 State St. Suite 220 Fremont, Ca 94538, Fremont, CA 94538 | 2018-11-27 |
| 1932676277 | Jarah Harvan | Psychologist | 1999 Mowry Ave Ste F, Fremont, CA 94538 | 2018-10-24 |
| 1205321965 | Chien Shien Yang Md Inc | Psychiatry & Neurology | 1860 Mowry Ave Ste 301a, Fremont, CA 94538 | 2018-06-26 |
| 1912416199 | Advanced Interventional Surgical Center | Clinic/Center | 3077 Stevenson Blvd, Fremont, CA 94538 | 2017-09-20 |
| Find all providers in zip 94538 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578125076 | The Alliance for Community Wellness | Community/Behavioral Health | 39155 Liberty St Ste F600, Fremont, CA 94538-1513 | 2019-07-03 |
| 1346785722 | Full Potential. Inc | Community/Behavioral Health | 700 W Toledo St, P.o 187, Fremont, IN 46737-7606 | 2016-12-21 |
| 1386195337 | City of Fremont Youth and Family Services | Community/Behavioral Health | 37141 2nd St, Fremont, CA 94536-2835 | 2016-10-14 |
| 1487108205 | Abode Services | Community/Behavioral Health | 4075 Papazian Way Ste 102, Fremont, CA 94538-4380 | 2016-08-10 |
| 1114386414 | Carnales Unidos Reformando Adictos | Community/Behavioral Health | 37471 Glenmoor Dr, Fremont, CA 94536-5731 | 2016-02-15 |
| 1295104818 | Carnales Unidos Reformando Adictos | Community/Behavioral Health | 37469 Glenmoor Dr, 37471 Glenmoor Drive, Fremont, CA 94536-5731 | 2015-09-24 |
| 1801277223 | City of Fremont | Community/Behavioral Health | 41717 Palm Ave, Fremont, CA 94539-4722 | 2015-06-11 |
| 1558742973 | City of Fremont | Community/Behavioral Health | 37944 Farwell Dr, Fremont, CA 94536-7008 | 2015-06-11 |
| 1194106518 | City of Fremont | Community/Behavioral Health | 41365 Chapel Way, Fremont, CA 94538-4202 | 2015-06-11 |
| 1023499449 | City of Fremont | Community/Behavioral Health | 41399 Chapel Way, Fremont, CA 94538-4202 | 2015-06-11 |
| Find all providers in FREMONT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.